Impact of social accountability monitoring on health facility performance: Evidence from Tanzania
利用坦桑尼亚准实验数据，发现社会问责干预使药品缺货减少1.8个标准差，但未改善设施维护，表明其对可改变的行为有效，但对依赖系统条件的结果无效。
Social accountability programs are increasingly used to improve the performance of public service providers in low-income settings. Despite their growing popularity, evidence on the effectiveness of social accountability programs remains mixed. In this manuscript, we assess the impact of a social accountability intervention on health facility management exploring quasiexperimental variation in program exposure in Tanzania. We find that the social accountability intervention resulted in a 1.8 SD reduction in drug stockouts relative to the control group, but did not improve facility infrastructure maintenance. The results of this study suggest that social accountability programs may be effective in areas of health service provision that are responsive to changes in provider behavior but may not work in settings where improvements in outcomes are conditional on larger health systems features.